Job Summary
We are seeking an experienced and detail oriented Medical Billing & Collections Specialist to join our team. This role is responsible for managing the full revenue cycle, including claim submission, collections and follow up. The ideal candidate has hands-on experience working with commercial payers and understands the importance of accuracy, timeliness and persistence in maximizing reimbursement. We are particularly looking for candidates with OB (obstetrics) coding and billing experience and/or plastic surgery billing experience - either specialty is a great fit for this role.
Key Responsibilities
- Submit accurate and timely insurance claims (electronic and paper)
- Perform aggressive claim follow-up and collections with insurance carriers to resolve denials and delays
- Review and interpret EOBs and ERAs
- Identify and resolve billing discrepancies, underpayments, and denials
- Communicate with insurance companies regarding claim status and appeals
- Maintain accurate documentation within EMR and billing systems
- Collaborate with clinical and administrative staff to ensure proper coding and documentation
- Assist with appeals and reconsiderations as needed
Qualifications
- Minimum 2+ years of medical billing and collections experience (required)
- Must reside on Long Island — this is a fully in-office position (no remote)
- Strong experience with claims submission and follow-up
- Knowledge of CPT, ICD-10, and medical terminology
- Experience working with commercial insurance (Aetna, BCBS, etc.)
- Familiarity with EMR and billing platforms (e.g., Nextech, Trizetto preferred)
- Strong attention to detail and organizational skills
- Ability to work independently and manage multiple tasks
Preferred Qualifications
- ★ Big Plus: Experience in OB (obstetrics) and/or plastic surgery coding and billing
- Other surgical or specialty billing experience also considered
- Experience with out-of-network billing
- Knowledge of denial management and appeals process
- Proactive and solution-oriented
- Strong follow-through on claims and collections
- Ability to identify issues and take ownership of resolution
- Comfortable working in a fast-paced, high-volume environment
Please submit your resume along with brief summary of your medical billing and collections experience.
Pay: $23.00 - $27.00 per hour
Benefits:
Experience:
- Medical Billing and Collections: 2 years (Required)
Shift availability:
Ability to Commute:
- Jericho, NY 11753 (Required)
Work Location: In person
